HCPCS drug code · CMS crosswalk
Micafungin Sodium J-Code / HCPCS Code
In short
Micafungin Sodium is billed under HCPCS J2248 — Injection, micafungin sodium, 1 mg. One billing unit is 1 mg. CMS's crosswalk lists 8 Micafungin Sodium NDCs under this code.
Reference
- J2248
- Injection, micafungin sodium, 1 mgBilling unit: 1 mg
- Labelers
- Hisun Pharmaceuticals Usa, Inc.; Meitheal Pharmaceuticals Inc.; Northstar RxLLC
Medicare Part B payment limit
CMS ASP filePayment limit per unit$0.203
Per1 mg
Coinsurance20%
Effective October 1, 2026 through December 31, 2026. Payment allowance limits subject to the ASP methodology are based on 2Q26 ASP data. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files
Micafungin Sodium units and claim line
Enter the dose given to get the J2248 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Micafungin Sodium NDCs and billing units
From CMS’s ASP NDC–HCPCS crosswalk, effective October 1, 2026 through December 31, 2026. Billing units per package are CMS’s figures for the code’s unit.
| NDC (11-digit) | HCPCS | Labeler | Package | Billing units per package |
|---|---|---|---|---|
| 16714-0164-10 | J2248 | Northstar RxLLC | 10 × 1 | 500 |
| 16714-0301-10 | J2248 | Northstar RxLLC | 10 × 1 | 1000 |
| 42658-0022-01 | J2248 | Hisun Pharmaceuticals Usa, Inc. | 1 | 50 |
| 42658-0022-02 | J2248 | Hisun Pharmaceuticals Usa, Inc. | 10 × 1 | 500 |
| 42658-0023-01 | J2248 | Hisun Pharmaceuticals Usa, Inc. | 1 | 100 |
| 42658-0023-02 | J2248 | Hisun Pharmaceuticals Usa, Inc. | 10 × 1 | 1000 |
| 71288-0028-11 | J2248 | Meitheal Pharmaceuticals Inc. | 10 × 1 | 500 |
| 71288-0029-11 | J2248 | Meitheal Pharmaceuticals Inc. | 10 × 1 | 1000 |
Micafungin Sodium: common questions
- What is the J-code for Micafungin Sodium?
- Micafungin Sodium is billed under HCPCS J2248 — Injection, micafungin sodium, 1 mg. One billing unit is 1 mg. CMS's crosswalk lists 8 Micafungin Sodium NDCs under this code.
- How many J2248 billing units are in a package of Micafungin Sodium?
- CMS lists 50 to 1,000 billing units per package, depending on the NDC, where one unit is 1 mg. Units to report are based on the dose given, not the package.
- Is J2248 a CPT code?
- No. J2248 is a HCPCS Level II code from CMS for the drug itself. Giving it, for example by injection or infusion, is usually reported with a separate CPT administration code.